Arxip222andClaude Opus 5.5
44814b7293
Clinical review of the questionnaires (ADR-013):
- Red-flag block first in stage 1 (config/instruments/red_flags.yaml); any «Да» stops the
questionnaire with an acute alert and the help screen of its category.
- One crisis rule: the crisis screen opens at a HIGH C-SSRS risk only; moderate stops and goes
to a psychiatrist (24 h as a guide), low is a flag with the safety plan. PHQ-9 item 9 with a
negative screener is a discrepancy flag; without a completed screener it asks the C-SSRS at once.
config/questionnaire.yaml: cssrs_positive_policy graded (C01).
- Every crisis leaves a callback task for the doctor on duty (post_crisis_call, one per patient)
and the app asks how the person is the next day, the safety plan one tap away.
- Routing: risk and flags first, scales second; PCL-5 >= 50 no longer means a priority
appointment (pcl5_severe is moderate on the dashboard too).
- Crisis numbers live only in config/texts/crisis.yaml; texts and the agent prompt refer to them
via {phone:<key>}. Fixes the children's helpline offered to adults by the chat agent.
Refs #92
Co-Authored-By: Claude Opus 5.5 <noreply@anthropic.com>
26 lines
1.5 KiB
YAML
26 lines
1.5 KiB
YAML
# Red flags — asked first in stage 1, before any scale (clinical review 2026-10-04: «обязательно»).
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# Any «Да» stops the questionnaire: an acute alert to the doctor, a callback task for the doctor on duty and the
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# help screen (crisis script variant by `category`, config/texts/crisis.yaml). Wording — team draft, the doctor
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# approves it (#8). These are not a scale: there is no score, only a stop rule.
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version: red-flags-v1-2026-10-04
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intro: "Сначала несколько коротких вопросов о безопасности. Отвечайте так, как есть сейчас."
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options:
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- {value: 1, label: Да}
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- {value: 0, label: Нет}
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items:
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- id: rf_psychosis
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text: Слышите ли Вы сейчас голоса или видите то, чего не видят и не слышат другие люди?
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category: null
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- id: rf_harm_others
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text: Есть ли у Вас сейчас мысли причинить вред другому человеку?
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category: harm_others
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- id: rf_weapons
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text: Есть ли у Вас дома или рядом доступ к оружию?
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category: null
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- id: rf_violence
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text: Угрожает ли Вам сейчас кто-то дома или применяет к Вам насилие?
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category: domestic_violence
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- id: rf_intoxication
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text: Находитесь ли Вы сейчас в состоянии сильного опьянения или тяжёлой отмены алкоголя либо других веществ?
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category: null
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